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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Drooping In Eyelids. Taking Distinon, Wysolone Medication. Treatment?

I had drooping of left eyelid for which I was referred to a neuorogist who administered distinon 60 mg tablets thrice a day at 7 am - 1 p m - 7 p m . after taking the tablet for about 6 months I could feel the difference and was comfortable .Now after 6th month my right eyelid drooped when I again went to the Neurologist who has now given me wysolone tablet every day along withj distinon three tablets a day. I do have occassional drooping of right eyelid. but my left eyelid is ok. Could you please advise me.
Tue, 24 Jul 2012
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Ophthalmologist 's  Response
please get yr throid profile done, blood sugar level and tests for myasthenia ....acetylcholine receptor antibodies in blood, and adrenophonium test nother test is called the edrophonium test. This approach requires the intravenous administration of edrophonium chloride or Tensilon(r), a drug that blocks the degradation (breakdown) of acetylcholine and temporarily increases the levels of acetylcholine at the neuromuscular junction. In people with myasthenia gravis involving the eye muscles, edrophonium chloride will briefly relieve weakness. Other methods to confirm the diagnosis include a version of nerve conduction study which tests for specific muscle "fatigue" by repetitive nerve stimulation. This test records weakening muscle responses when the nerves are repetitively stimulated. Repetitive stimulation of a nerve during a nerve conduction study may demonstrate decrements of the muscle action potential due to impaired nerve-to-muscle transmission.
u may talk to neurophysician..and then go for the above tests ..and then tell me the reports..
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Drooping In Eyelids. Taking Distinon, Wysolone Medication. Treatment?

please get yr throid profile done, blood sugar level and tests for myasthenia ....acetylcholine receptor antibodies in blood, and adrenophonium test nother test is called the edrophonium test. This approach requires the intravenous administration of edrophonium chloride or Tensilon(r), a drug that blocks the degradation (breakdown) of acetylcholine and temporarily increases the levels of acetylcholine at the neuromuscular junction. In people with myasthenia gravis involving the eye muscles, edrophonium chloride will briefly relieve weakness. Other methods to confirm the diagnosis include a version of nerve conduction study which tests for specific muscle fatigue by repetitive nerve stimulation. This test records weakening muscle responses when the nerves are repetitively stimulated. Repetitive stimulation of a nerve during a nerve conduction study may demonstrate decrements of the muscle action potential due to impaired nerve-to-muscle transmission. u may talk to neurophysician..and then go for the above tests ..and then tell me the reports..